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Fulltext Reaksi tekanan terhadap kesihatan mental juvana

Mahadir Ahmad, Normah Che Din, Fauziah Shaari

Jurnal Sains Kesihatan Malaysia, 2004;2(2):53-62.
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Kajian ini mengukur kesan pembawaan semula jadi, punca tekanan dan reaksi tekanan ke atas kesihatan mental di kalangan juvana. Ia melibatkan 55 orang juvana dari pusat pemulihan akhlak dari lingkungan umur 15 hingga 18 tahun. General Health Questionnaire (GHQ28), Student Life Stress Inventory (SLSI), dan Dimensions of Temperament DOTSR-Child (Self) digunakan sebagai alat kajian. Manakala analisis regresi dan korelasi telah dikendalikan untuk menganalisis data. Keputusan kajian menunjukkan punca tekanan, reaksi tekanan dan pembawaan semula jadi tidak memberi kesan yang signifikan ke atas kesihatan mental juvana. Namun punca tekanan secara tunggal didapati menjadi peramal yang signifikan kepada kemurungan juvana dengan menyumbang sebanyak 14.6% daripada varian. Punca kekecewaan menyumbang sebanyak 18.1% daripada varian dalam meramal kemurungan. Reaksi emosi menyumbang sebanyak 10.6% kepada kesan anxieti dan insomnia. Punca tekanan dan pembawaan semula jadi pula menyumbang sebanyak 31% kepada reaksi emosi. Punca tekanan mempunyai korelasi positif yang sederhana dengan reaksi emosi (k = 0.55) dan mempunyai korelasi positif yang rendah dengan pembawaan semula jadi (k = 0.11) dan kesihatan mental (k = 0.23). Kesimpulannya punca tekanan memainkan peranan yang penting dalam mempengaruhi reaksi terhadap tekanan. Faktor pembawaan semula jadi tidak mempunyai pengaruh yang kuat dalam mempengaruhi reaksi tekanan dan kesihatan mental juvana. Faktor kekecewaan pula merupakan peramal yang signifikan kepada kemurungan.
Fulltext Coping skills and psychosocial adjustments among parents of children with learning disabilities (LD)

Dzalani Harun, Emy Yew, Mahadir Ahmad, Nur Sakinah Baharudin

ASEAN Journal of Psychiatry, 2017;18(2):0-0.
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Objectives: This study investigated the relationship between coping skills and
psychosocial adjustments among parents of children with LD.

Method: A
cross-sectional study with a convenience sampling method was applied to a total
of 87 parents of children with LD from four non-government community
rehabilitation centers. They were measured using a validated Malay version of
the Family Crisis Oriented Personal Evaluation Scale (F-COPES) for coping
skills. The Modified Psychosocial Adjustment to Illness Scale-Self-Report
(PAIS-SR) was used to measure parents’ psychosocial adjustments.

Results: A
Spearman’s rho showed a correlation between total coping skills and
psychosocial adjustments scores among parents (rs= -0.43, p
Fulltext The influences of parenting stress, children behavioral problems and children quality of life on depression symptoms among parents of children with autism: preliminary findings

Ainul Izzah Abdul Manan, Noh Amit, Zaini Said, Mahadir Ahmad

Jurnal Sains Kesihatan Malaysia, 2018;16(101):137-143.
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Taking care of children with Autism Spectrum Disorder (ASD) could be a demanding task for parents. Consequently, parents of children with ASD may experience parenting stress and depression symptoms. This study examined parenting stress and depression symptoms among parents of children and adolescents with ASD. This study also examined the role of child characteristics (e.g., age, child quality of life and problem behavior) on parenting stress and depression symptoms and the effect of parenting stress on parental depression. A total of 78 parents were examined using a questionnaire survey. The result indicated that parents caring a younger age group of children with ASD have higher levels of depression symptoms compared to parents caring for older group of children with ASD. The result also revealed a significant difference in level of depression symptoms between parents with higher levels of parenting stress and parents with lower parenting stress. Only the children age significantly predicts depression symptoms in parents of children with ASD. This indicates that children age is potential to affect mental health among parents of children with ASD.
Fulltext The effects of high intensity progressive resistance training on psychological stress and biochemicals parameters

Lau, Hui Jin, Suhaniza Sairan, Arimi Fitri Mat Ludin, Mahadir Ahmad, Nor Farah Mohd Fauzi

Jurnal Sains Kesihatan Malaysia, 2015;13(2):53-60.
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Stress is a common problem among university students and studies showed that involvement in exercise could help in reducing stress. However, information regarding the effect of high intensity progressive resistance training (PRT) using a resistant tube on stress among inactive and moderate active young male university students is limited. Hence, the aim of this study is to examine the effect of high intensity PRT using a resistant tube on psychological stress level, cortisol, DHEA and physical fitness in this population. A total of 30 male university students were participated in this quasi-experiment study. Intervention group (n = 14, age: 21.50 ± 1.37 yr) was participaned to carry out high intensity PRT by using resistant tube 3 times per week for 10 weeks; control group (n = 16, age: 21.29 ± 1.86 yr) was asked to continue their current lifestyle as usual. Before and after 10 weeks of intervention, psychological stress was measured by using PSS and SLSI questionnaires; cortisol and DHEA level were measured by using ELISA method. Timed up-and-go (TUG) used to examine dynamic balance and handgrip strength test used to measure muscle strength. Findings showed that the increased of DHEA level after 10 weeks of intervention was significantly difference between control and intervention groups (p < 0.05). There was no significant group difference in changes over time in anthropometric and body composition measurements, stress scores, cortisol level and physical fitness. High intensity PRT using resistant tube may be beneficial in increasing DHEA level among young male adults, which can act as a stress biochemical indicator.
Fulltext Kesan senaman aerobik terhadap penanda stres terpilih di kalangan pelajar semasa musim peperiksaan akademik

Farah Fauzi, Arimi Fitri Mat Ludin, Mahadir Ahmad, Kamarul Zaman Maidin

Jurnal Sains Kesihatan Malaysia, 2006;4(2):27-37.
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Aktiviti fizikal yang kerap seperti senaman mempunyai implikasi yang baik terhadap kehidupan seharian kita terutamanya dalam aspek kesihatan dan pengurusan stres. Kajian ini adalah bertujuan untuk mengkaji kesan program senaman aerobik dengan protokol yang ditetapkan ke atas aras penanda tekanan terpilih di kalangan pelajar universiti semasa musim peperiksaan akademik. Lapan belas (n=18) mahasiswa tidak terlatih, dipadankan dengan umur dan BMI, telah dibahagikan kepada 2 kumpulan iaitu kumpulan intervensi (n=10) dan kawalan (n=8). Kumpulan intervensi menjalani senaman jenis aerobik berintensiti sederhana (60-75% daripada kadar denyut jantung maksimum), 3 kali seminggu selama 40-50 minit untuk setiap sesi selama 6 minggu. Darah vena diambil pada sebelum program senaman bermula (M1) dan selepas program senaman berakhir (M2) iaitu dalam minggu pertama musim peperiksaan. Kecergasan kardiorespiratori dan status stres psikologi diukur sebelum kedua-dua sesi pengambilan darah. Analisis biokima dijalankan untuk melihat aras malondialdehid (MDA) plasma dan kortisol serum. Hasil kajian menunjukkan bahawa program senaman selama 6 minggu ini telah merangsang penurunan aras MDA yang signifikan (F=19.58, p=0.002) semasa minggu peperiksaan berbanding aras sebelum program senaman bermula. Kumpulan intervensi juga menunjukkan aras MDA yang lebih rendah (t=-0.42, p=0.001) berbanding kumpulan kawalan semasa menduduki minggu peperiksaan. Walaubagaimanapun, tiada perbezaan yang signifikan pada aras kortisol dalam kedua-dua kumpulan walaupun terdapat penurunan yang sedikit pada kumpulan intervensi semasa minggu peperiksaan. Kajian ini mencadangkan bahawa program senaman yang dijalankan mampu dijadikan sebagai strategi yang berkesan untuk membantu pelajar menghadapi stres terutamanya sewaktu sesi akademik yang memberatkan.
Fulltext Juara sihat™: study design of a school-based childhood obesity nutrition education programme in Kuala Lumpur, Malaysia

Devanthini Dewi Gunasekaran, Ruzita Abd Talib, Razinah Sharif, Poh Bee Koon, Nik Shanita Safii, Mahadir Ahmad

Jurnal Sains Kesihatan Malaysia, 2018;16(101):119-127.
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The global prevalence of overweight and obesity among children has increased rapidly in the recent decades, including in Malaysia. Thus, development of effective interventions to prevent childhood obesity in Malaysia is urgently needed. This paper describes the study design of a 12-week multi-component, school-based nutrition education programme aimed at managing childhood obesity. The objective of Juara Sihat™ is to determine the effectiveness of a nutrition education programme in improving anthropometric status, knowledge, attitude and practice (KAP) of nutrition, eating habits and physical activity level among overweight and obese children. This quasi-experimental study involves two primary schools in Kuala Lumpur with similar demographic characteristics. Eligibility criteria of research participants are overweight and obese children aged 9 to 11 years. The main components of the Juara Sihat™ intervention are nutrition education classes on healthy eating and active lifestyle; physical activity sessions; and active involvements of parents and teachers. The control school does not receive any interventions. The primary outcome is BMI-for-age z-score, while other outcomes include waist circumference, body fat percentage, KAP of nutrition score, dietary intake, physical activity level, sedentary behaviour and biochemical profile. Outcome measures will be assessed at three intervals: baseline, post-intervention 1 (3-month follow-up), and post-intervention 2 (6-month follow-up). The Juara Sihat™ programme represents a promising approach to examining the effectiveness of a school-based childhood obesity intervention with strong empowerment of Parents’ and Teachers’ Association (PTA). We anticipate that this study may provide insights towards the development of more effective strategies in formulating childhood obesity interventions.
Fulltext A review on phonological awareness and visual-spatial ability among children with dyslexia

Normah Che Din, Agnes Chong Shu Sze, Norhayati Ibrahim, Mahadir Ahmad, Rogayah Abdul Razak, Pheh Kai Shuen

Jurnal Sains Kesihatan Malaysia, 2018;16(101):145-154.
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This review aims to present an overview of current research findings on the possible relationship between phonological awareness and visual-spatial skills among individuals with dyslexia. Narrative review of the relevant articles were obtained through computerized searches of databases such as PubMed, PubMed Central (PMC) and Google Scholar which included articles from SAGE, Taylor & Francis and Massachusetts Institute of Technology (MIT) Press from the year 2000 to 2014. The key words were explored, both exclusively and in combination with each other, so as to provide a better understanding of the relationship between them among individuals with dyslexia. Although it is evident that there is a phonological deficit in individuals with dyslexia, however, it is inconclusive with regards to the visual-spatial deficit and strength. There is a consensus on the nature of phonological awareness skill deficits but not on the visual spatial abilities in dyslexia. In fact, the relationship between phonological awareness and visual spatial abilities in dyslexia is dependent on the area of visual ability measured.
Exploring the beliefs of caregivers about the caregiving experiences of children with acute lymphoblastic leukemia in Malaysia

Chong ASS, Mahadir A, Hamidah A, Rizuana IH, Afifi L, Chan CMH

Belitung Nurs J, 2022;8(3):204-212.
PMID: 37547110 DOI: 10.33546/bnj.2083

BACKGROUND: Cancer is one of the major leading causes of childhood death, and the most common type is acute lymphoblastic leukemia. The survival rate has increased in recent years; however, the long patient trajectory may trigger psychological distress among caregivers as they play an active role in ensuring that the child's basic needs are met. Being in a patient-focused system, the needs of caregivers may be neglected.
OBJECTIVE: This study aimed to explore the caregivers' beliefs on children with acute lymphoblastic leukemia caregiving experiences in order to promote their well-being.
METHODS: Caregivers from thirteen families of children with acute lymphoblastic leukemia participated in this phenomenological study. NVivo 12 was used for the thematic analysis of the data. Consolidated criteria for reporting qualitative research (COREQ) were used in this study.
RESULTS: Overall, five main themes for caregivers' beliefs were identified from their responses: 1) dietary intake with emphasis on its importance in aiding recovery and its potential influence on cancer complications, 2) childcare which emphasized the need to be strong and self-sacrifice, 3) treatment which reflected the use of home or natural remedies and caregivers' negative perception towards chemotherapy, 4) causes of cancer believed to be linked to early childcare choices on food, beverage, and stress imposed on the child, and 5) source of beliefs that included doctors, online platforms, personal encounters and information on food labels.
CONCLUSION: Caregivers' beliefs are varied and nuanced, formed in a multicultural social background of Malaysia. These findings provide knowledge for future supportive cancer care for patients, their caregivers, and the treatment outcome in the Malaysian context. Nurses, who play an essential role between healthcare professionals and patients and/or their caregivers, can be empowered to provide psychological support, early detection of psychological distress, and exploration of caregiver beliefs, given that the number of clinical psychologists in Malaysia is lacking, and there is greater preference for care to be provided by doctors or nurses.